Reimbursement Specialist (Remote)
- Full-time
Company Description
If you are a dedicated professional who loves what you do, likes having fun at work, and proactively solves challenges, we’d like to hear from you!
Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with aphasia. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their aphasia journey.
Job Description
Purpose: The Reimbursement Specialist – Collector is responsible for following up on denied claims, corresponding with payer inquiries/correspondence and responding to account inquiries. Also, cross-trains with team members to assist in additional billing and collections processes as needed.
Qualifications
Essential Duties & Responsibilities:
- Collecting from Insurance Companies and Patients
- Billing primary and secondary insurances
- Follow up on claims
- Appeal denied claims
- Set up and manage patient payment plans
- Tracking delivery of LG sale devices
- Monitors Accounts Receivable
- Maintains confidentiality in all matters concerning patients’ accounts, maintaining HIPAA standards for PHI
- Tracks claims/billing errors, denials, rejections, ETC
- Initiate calls to customers and insurance companies by phone or mail to collect payments and settle accounts.
- May be required to perform other duties as assigned
Knowledge, Skills & Abilities
- Attention to detail, organization and problem-solving skills, persistence, and flexibility
- Knowledge of Medicare, Medicaid and Commercial regulations
- Computer skills including use of Excel, Outlook, preferred
- Exposure to HubSpot or other CRM preferred
- Excellent and effective communication
- Detail oriented and organized
- Ability to effectively handle multiple and shifting priorities
Education & Experience
- High School Diploma or equivalent, required
- 1 – 3 years in medical reimbursement and DME experience, preferred
- Exposure to billing and collections, preferred
- Experience using medical billing software such as ADSC, preferred
Additional Information
Travel Requirements:
Ability to travel to satellite sites and/or off-site locations for events, meetings or training as needed (Proof of Covid-19 vaccination required to attend in-person meetings/gatherings)
Work Environment & Physical Demands:
Incumbent may work from home and is expected to maintain a safe, productive work environment with secure internet access. Must be able to operate a computer with or without a reasonable accommodation.
Accommodations:
To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or ability abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To learn more about Lingraphica, visit: www.lingraphica.com!
This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.